Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
WALDENSIERRA CORPORATION
Employer identification number
52-1267498
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
158,037
67,127
58,943
54,232
29,002
367,341
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
4,221,170
4,098,822
4,841,529
5,368,502
6,181,089
24,711,112
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
264,065
249,071
223,850
208,209
209,565
1,154,760
6
Total. Add lines 1 through 5.
4,643,272
4,415,020
5,124,322
5,630,943
6,419,656
26,233,213
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
26,233,213
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
4,643,272
4,415,020
5,124,322
5,630,943
6,419,656
26,233,213
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,449
1,119
2,208
1,970
781
7,527
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
1,449
1,119
2,208
1,970
781
7,527
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
11,662
14,595
15,068
11,684
21,692
74,701
13
Total support. (Add lines 9, 10c, 11, and 12.)..
4,656,383
4,430,734
5,141,598
5,644,597
6,442,129
26,315,441
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
99.690 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
99.650 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
WALDENSIERRA CORPORATION
Employer identification number
52-1267498
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
OUR MISSION IS TO PROVIDE A COMPREHENSIVE ARRAY OF CRISIS, BEHAVIORAL HEALTH, TRAUMA AND RECOVERY SERVICES THAT CONTRIBUTE TO THE WELL-BEING OF THE SOUTHERN MARYLAND COMMUNITY. PURSUIT OF THIS MISSION HAS LED TO ONGOING PARTNERSHIPS WITH LOCAL AND REGIONAL PUBLIC AND PRIVATE SYSTEM PARTNERS IN THE SOCIAL AND HUMAN SERVICES, CRIMINAL JUSTICE, AND HEALTHCARE FIELDS. WALDEN EXISTS TO RESPONSIVELY MEET COMMUNITY NEEDS, AND WE STRIVE TO PROVIDE HIGH QUALITY, COMPASSIONATE SERVICES AND LEADERSHIP TO SOUTHERN MARYLAND IN THE AREAS OF CRISIS INTERVENTION, TRAUMA-INFORMED CARE, AND INTEGRATED BEHAVIORAL HEALTH.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
OUTPATIENT SERVICES TO MEET AN ARRAY OF BEHAVIORAL HEALTH AND WELLNESS NEEDS. OUTPATIENT SUBSTANCE ABUSE SERVICES AT WALDEN ARE CARF ACCREDITED AND RANGE FROM ASSESSMENT, SUBSTANCE ABUSE EDUCATION, GENERAL OUTPATIENT, AND INTENSIVE OUTPATIENT GROUP AND INDIVIDUALIZED SERVICES. FAMILY EDUCATION AND CONTINUING CARE ARE ALSO IMPORTANT COMPONENTS WITHIN OUR SUBSTANCE ABUSE SERVICE CONTINUUM. DURING OUR MOST RECENTLY COMPLETED PROGRAM AND FISCAL YEAR, WALDEN PROVIDED OUTPATIENT SUBSTANCE ABUSE TREATMENT SERVICES TO OVER 1,400 ADULTS AND ADOLESCENTS. WALDEN HAS BUILT A SUCCESSFUL OUTPATIENT MENTAL HEALTH THERAPY AND PSYCHIATRIC SERVICES PROGRAM WITH CLINICS IN CHARLOTTE HALL AND LEXINGTON PARK. EXPANSION EFFORTS ARE UNDERWAY TO SERVE OTHER AREAS IN SOUTHERN MARYLAND. WALDEN ALSO PROVIDES CRISIS INTERVENTION AND MENTAL HEALTH/TRAUMA SERVICES TO VICTIMS OF TRAUMA AND ABUSE; THIS SET OF OUTPATIENT SERVICES IS OFFERED TO INDIVIDUALS IN NEED WITHOUT REGARD TO THE VICTIM'S ABILITY TO PAY FOR SUCH SERVICES. WITHIN THIS SCOPE, WALDEN PROVIDES A RANGE OF SERVICES TO CHILD, ADOLESCENT AND ADULT VICTIMS OF DOMESTIC VIOLENCE, RELATIONSHIP OR DATING VIOLENCE, SEXUAL ASSAULT, RAPE, AND CHILD ABUSE. SERVICES ARE ALSO EXTENDED TO NON-OFFENDING FAMILY MEMBERS. CORE VICTIMS SERVICES PROVIDED INCLUDE HOTLINE, CRISIS, ADVOCACY, VICTIM OUTREACH, AND THERAPEUTIC COUNSELING SERVICES. WE HAVE A STRONG COLLABORATION WITH OUR LOCAL LAW ENFORCEMENT PARTNERS TO OFFER LETHALITY ASSESSMENT PROGRAM SERVICES, UTILIZING THE 24-HOUR ACCESSIBILITY AVAILABLE VIA OUR HOTLINE SERVICE TO TRAINED CRISIS WORKERS, OUTREACH, AND ON-CALL PROFESSIONAL STAFF WHO CAN ENTER A DIALOGUE WITH DOMESTIC VIOLENCE VICTIMS AND SET SAFETY PLANNING, EMERGENCY ASSISTANCE, AND FOLLOW-UP SERVICES IN PLACE WHILE THE POLICE ARE STILL ON THE SCENE WITH THE VICTIM. IN ALL, WALDEN PROVIDED CRISIS AND MENTAL HEALTH/TRAUMA SERVICES TO NEARLY 900 VICTIMS OF CRISIS, DOMESTIC VIOLENCE, SEXUAL ASSAULT, RAPE, DATING VIOLENCE, STALKING, AND CHILD ABUSE IN OUR MOST RECENTLY COMPLETED YEAR. IN 2013, WE CONTINUED A PROJECT DESIGNED TO CREATE GREATER ACCESS TO BEHAVIORAL HEALTH SERVICES IN PARTNERSHIP WITH OUTPATIENT AND INPATIENT MEDICAL CARE PROVIDERS. THE PROJECT INTEGRATES A BEHAVIORAL HEALTH INTERVENTIONIST INTO OUR LOCAL HOSPITAL AND OUTPATIENT CLINIC FOR UNINSURED/UNDERINSURED PERSONS. IN A SIX-MONTH PERIOD, OUR INTEGRATED CARE PROJECT PROVIDES OVER 300 SERVICE CONTACTS IN PRIMARY CARE SETTINGS. WE ALSO ADDED A PROJECT THAT PROVIDES PEER SUPPORT AND NON-CLINICAL INTERVENTIONS VIA RECOVERY COMMUNITY CENTERS. BEACON OF HOPE RECOVERY COMMUNITY CENTER FOR ADULTS HAS BEEN OPERATIONAL SINCE FEBRUARY 2012; THE COVE/DFZ OPENED IN JANUARY 2013, PROVIDING PEER SUPPORT FOR YOUTHS. THE TWO PROGRAMS SERVE AN AVERAGE OF 300 GUESTS MONTHLY VIA STRUCTURED, DROP IN, RECOVERY COACHING, SPECIAL EVENTS AND HOSTING ACTIVITIES.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
WE ARE SEEKING A SIGNIFICANT INCREASE IN YOUNG ADULTS WITH OPIATE ADDICTION IN NEED OF OUR SERVICES. AN AGENCY LEADER WALDEN'S ENTIRE CONTINUUM OF SERVICES IS WIDELY REGARDED AS A LEADER IN THE STATE IN THE IMPLEMENTATION OF RECOVERY ORIENTED SYSTEM OF CARE (ROSC) PROGRAMMING AND ACTIVITIES. IN THE MOST RECENTLY COMPLETED FISCAL YEAR, WALDEN SUCCESSFULLY TOOK A LOCAL LEADERSHIP ROLE IN THE INTEGRATION OF TRAUMA-INFORMED CARE FOR OUR LOCAL ROSC SYSTEM; THE CREATION OF RECOVERY SUPPORT SERVICES; AND IN EXPANDING ACCESS TO PSYCHIATRIC CARE TO OUR CLIENTS, INCLUDING THROUGH THE USE OF TELE-PSYCHIATRY, ON-SITE PSYCHIATRIC SERVICES; AND ULTIMATELY ACHIEVING QUALIFICATION AS A COMMUNITY MENTAL HEALTH CLINIC IN FY 13. CURRENT GOALS INCLUDE EXPANDING OUR INTEGRATION ACTIVITIES WITH PRIMARY CARE AND HOSPITAL-BASED PROVIDERS AND IMPLEMENTING EVIDENCE-BASED PRACTICES IN A MANNER THAT ENHANCES OUR CORE PRACTICES (COGNITIVE BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING) AND EXPANDS STAFF KNOWLEDGE INTO NEW CLINICAL PRACTICES SUCH AS SEVEN CHALLENGES FOR ADOLESCENTS AND CRAFT (COMMUNITY REINFORCEMENT AND FAMILY TRAINING).
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COMPLETED COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING FOR REVIEW AND COMMENT.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ALL MEMBERS OF THE BOARD SIGN A CORPORATE COMPLIANCE RESOLUTION. PERIODIC UPDATES AND TRAINING ARE PROVIDED TO ENSURE THAT ALL BOARD POLICIES RELATING TO THE CODE OF CONDUCT ARE FOLLOWED.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED BY THE BOARD OF DIRECTORS, DIRECTED BY THE BOARD OF DIRECTORS PRESIDENT, WITH AN EVALUATION OF COMPARABLE SALARIES FROM SIMILAR ORGANIZATIONS IN THE REGION.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
COMPENSATION FOR KEY EMPLOYEES IS REVIEWED BY THE EXECUTIVE DIRECTOR, DISCUSSED WITH THE BOARD OF DIRECTORS WHEN APPROPRIATE, WITH AN EVALUATION OF COMPARABLE SALARIES FROM SIMILAR ORGANIZATIONS IN THE REGION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS, WRITTEN POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION.
SPECIAL EVENT EXPENSES NET FOR TAX 1,371 LOSS ON DISPOSITION OF FIXED ASSETS 4,426 SPECIAL EVENT EXPENSES NET FOR TAX -1,371 LOSS ON DISPOSITION OF FIXED ASSETS -4,426
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.